4,174 research outputs found
Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach
Bronchial sleeve resection is an uncommon thoracic surgical procedure. Under specific conditions, patients can be selected to undergo a sleeve resection of the main bronchus with complete parenchymal preservation. The left main bronchus is longer than the contralateral bronchus, therefore left endobronchial tumours can be localized at the proximal end of the bronchus or distally, near the secondary carina. Bronchial anastomosis in these 2 situations requires different approaches. We present the surgical technique of left main bronchus resection with complete preservation of lung parenchyma through a hemi-clamshell incision (proximal tumour) or posterolateral thoracotomy (distal tumour)
The Paranoid Style in American History of Science
Historian Richard Hofstadter’s observations about American cold-war politics are used to contextualize Thomas Kuhn’s The Structure of Scientific Revolutions and argue that substantive claims about the nature of scientific knowledge and scientific change found in Structure were adopted from this cold-war political culture.
Las observaciones del historiador Richard Hofstadter sobre la política americana en la Guerra Fría se utilizan
para contextualizar La estructura de las revoluciones científicas de Thomas Kuhn y sostener que algunas
afirmaciones fundamentales sobre la naturaleza del conocimiento científico y el cambio científico que se
pueden hallar en La estructura fueron adoptadas de esta cultura política de la Guerra Fría
Três contos de Thomas Hardy: tradução comentada de cadeias de significantes, hipotipose e dialeto
Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão. Programa de Pós-Graduação em Estudos da TraduçãoEsta tese se insere na área de tradução comentada de textos literários e se baseia na minha tradução para o português dos contos "The withered arm", "Barbara of the House of Grebe" e "An imaginative woman", do escritor inglês Thomas Hardy (1840-1928), tendo como intuito propor uma discussão a respeito de algumas questões de tradução de prosa, a saber, a cadeia de significantes, hipotipose e dialeto. A tradução é precedida por um estudo prévio sobre o autor e sobre os aspectos mais importantes de sua obra e por uma apreciação da ficção de Hardy traduzida no Brasil. Em seguida, apresento os contos traduzidos e os respectivos comentários da traduçãoThe area of research of this thesis is literary translation with commentary and it is based on my own translation into Portuguese of the short stories #The withered arm#, #Bárbara of the House of Grebe#, and #An imaginative woman# by Thomas Hardy (1840-1928). In the commentaries, I draw attention to some matters in prose translation, such as underlying networks of signification, hypotyposis, and dialect. My translation is preceded by a study on the writer and on the most important aspects of his work, and by an analysis of Hardy#s fictional work translated into Brazilian Portuguese. Finally, I present the translation of the short stories and the commentaries on the translatio
sj-docx-1-tam-10.1177_17588359241236451 – Supplemental material for Resected EGFR-mutated non-small-cell lung cancers: incidence and outcomes in a European population (GFPC Exerpos Study)
Supplemental material, sj-docx-1-tam-10.1177_17588359241236451 for Resected EGFR-mutated non-small-cell lung cancers: incidence and outcomes in a European population (GFPC Exerpos Study) by Jean-Bernard Auliac, Pascal-Alexandre Thomas, Olivier Bylicki, Florian Guisier, Hubert Curcio, AlainVegnenègre, Aurelie Swalduz, Marie Wislez, Jacques Le Treut, Chantal Decroisette, Victor Basse, Lionel Falchero, Gonzague De Chabot, Diane Moreau, Eric Huchot, Audrey Lupo Mansuet, Helene Blons, Christos Chouaïd and Laurent Greillier in Therapeutic Advances in Medical Oncology</p
Thomas Mann e Theodor Adorno, ética e estética
Based on three texts by Thomas Mann (a short story, a novella and a novel), the author tries, narratively, to express the tensions which are in the work of this German writer, establishing a dialogue with his contemporary interlocutor Theodor Adorno. The objective is to light the relationships that are established here between literature and philosophy.A partir de três textos de Thomas Mann (um conto, uma novela e um romance), o autor procura expressar narrativamente as tensões que se encontram na obra deste escritor alemão, estabelecendo um diálogo com seu conterrâneo contemporâneo Theodor Adorno e, assim, objetiva trazer à tona as relações que aqui se estabelecem entre literatura e filosofia
Thomas Mann e Theodor Adorno, ética e estética
Based on three texts by Thomas Mann (a short story, a novella and a novel), the author tries, narratively, to express the tensions which are in the work of this German writer, establishing a dialogue with his contemporary interlocutor Theodor Adorno. The objective is to light the relationships that are established here between literature and philosophy.A partir de três textos de Thomas Mann (um conto, uma novela e um romance), o autor procura expressar narrativamente as tensões que se encontram na obra deste escritor alemão, estabelecendo um diálogo com seu conterrâneo contemporâneo Theodor Adorno e, assim, objetiva trazer à tona as relações que aqui se estabelecem entre literatura e filosofia
La revue a reçu…
DOUNIÈS Thomas. Réformer l’éducation civique ? Enquête du ministère à la salle de classe. Rennes : Presses universitaires de Rennes, 2021, 258 p. DUPONT Pascal (dir.). L’enseignement de l’oral en contexte francophone : pratiques et outils de formation. Toulouse : Presses universitaires du Midi, 2020, 198 p. FONTAINE Alexandre (dir.). Penser la circulation des savoirs scolaires dans l’espace transatlantique. Émigration, transferts, créations (xviii-xxe siècles). Lormont : Le Bord de l’eau, 202..
The modifying factors that help improve anterior cruciate ligament reconstruction rehabilitation: A narrative review
Background: : The goal of a rehabilitation programme after anterior cruciate ligament (ACL) reconstruction is to manage a patient's goals and expectations (i.e., returning to physical activities and sports) while minimizing the risk of new injury, particularly a new ACL injury. Although general rehabilitation programmes have been proposed, some factors can lead to adapting each programme to each patient. Objective: : To describe how different variables, including surgical techniques, sports participation, psychosocial and contextual factors can modify the rehabilitation programme. Methods: : We performed a narrative review with input from experts in the field (level of evidence 5). Conclusions: : Modifying factors of the ACL rehabilitation programme are related to the initial lesion or surgery, to sports, or to psychological or social aspects. Regarding the type of graft, the rehabilitation is mainly different in the early postoperative phase; the other phases are not graft-based but rather goal-based rehabilitation. Depending on the meniscal or cartilage repair, the rehabilitation protocol will initially take priority over the anterior cruciate ligament reconstruction protocol. The ACL reconstruction rehabilitation programme should meet the requirements of the anticipated sports, to optimize the athlete's ability to return to the expected level and minimize the risk of reinjury. Psycho-social and contextual factors must also be considered in rehabilitation care to individualize and optimize each patient's programme. (C) 2021 Elsevier Masson SAS. All rights reserved
Lymph node dissection during sublobar resection: why, when and how?
1st International Conference on Sublobar Resections for Lung Cancer, Paris, FRANCE, JAN, 2018International audienceAppropriate lymph node (LN) assessment is a hallmark of surgical quality of curative intent operations for non-small cell lung cancer (NSCLC). Even in the era of extensive pre-treatment workup including routine PET-scanning and brain imaging, and selective invasive LN evaluation, unexpected LN metastases are found at surgery in more than 10% of patients with a cT1aN0 tumor. Systematic lymphadenectomy minimizes the risk of leaving tumor-LN behind and thus the risk of an incomplete resection, and provides the most truthful pTNM, which is decisive in directing adjuvant chemotherapy. Removal of interlobar, hilar, and mediastinal LNs is necessary during sublobar resection, as it is during lobectomy. In addition, segmental LNs should be dissected at both the resected and nonresected lobar segments, because the lymphatic flow from the resected segment can go directly to the neighboring segmental LNs to join the lymphatic network at the roots of the lobar bronchi, especially for tumors in anteriorly located segments. Finally, several anatomical studies described direct lymphatic vessels from the lower lobes into the upper lobar bronchi LN rendering also advisable clearance of the upper lobar LN in case of lower lobe NSCLC. Given that intralobar LN dissection is impossible within the remaining lobe after wedge resection, omission of segmental and intralobar LN retrieval may also explain the high incidence of loco-regional recurrence observed after wedge resection. Thus, segmentectomy should be preferred to wedge resection as the recommended type of sublobar resection
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